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EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC NPI 1487983151

NPI Profile

NPI: 1487983151

Provider Name: EAST GEORGIA HMA PHYSICIAN MANAGEMENT, LLC

Classification: Psychiatry & Neurology - 2084N0400X

Entity Type: Organization

Specialization: Neurology

Address:
1497 FAIR RD
STATESBORO, GA
ZIP 30458

Phone: (912) 486-1626

EAST GEORGIA HMA PHYSICIAN MANAGEMENT, LLC is a neurologist in Statesboro, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EAST GEORGIA HMA PHYSICIAN MANAGEMENT, LLC NPI is 1487983151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1497 FAIR RD
STATESBORO, GA
ZIP 30458-822
Phone: (912) 486-1626

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 11/26/2012.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084N0400X Psychiatry & Neurology Neurology No
2 207RC0000X Internal Medicine Cardiovascular Disease Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/13/2015